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胸腰椎骨折分类:演变、优缺点、更新及稳定性概念。

Thoracolumbar fracture classification: evolution, merits, demerits, updates, and concept of stability.

机构信息

Department of Neurosurgery, Uttar Pradesh University of Medical Sciences (UPUMS), Etawah, India.

出版信息

Br J Neurosurg. 2021 Feb;35(1):92-97. doi: 10.1080/02688697.2020.1777256. Epub 2020 Jun 19.

DOI:10.1080/02688697.2020.1777256
PMID:32558596
Abstract

Thoracolumbar fracture classification system is required to facilitate effective communication between spine surgeons, to guide treatment, and to help predict the prognosis. An ideal classification system should be simple, comprehensive, reliable, and reproducible with predictive outcomes. Unfortunately, most of the existing classifications have certain merits and demerits and they failed to fulfill the above criteria; some are oversimplified while others are too inclusive and complex for routine use. Given the scenario where none of the classifications is accepted worldwide, it is imperative to understand the evolution of thoracolumbar injury classification. The authors concisely review the subject from its inception in the year 1929 to the present day.

摘要

胸腰椎骨折分类系统是为了便于脊柱外科医生之间进行有效的沟通,指导治疗,并帮助预测预后。一个理想的分类系统应该是简单、全面、可靠和可重复的,并且具有预测结果。不幸的是,大多数现有的分类方法都有一定的优点和缺点,它们不能满足上述标准;有些过于简单,而有些则过于复杂,不适合常规使用。鉴于目前没有一种分类方法在全球范围内被接受,了解胸腰椎损伤分类的演变是至关重要的。作者从 1929 年开始到现在,简明扼要地回顾了这一主题。

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